Individual
LUDMILA DAVIDOV
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
9745 QUEENS BLVD, REGO PARK, NY 11374-2101
(718) 459-0500
(718) 997-6817
Mailing address
9850 63RD DR, APT# 5G, REGO PARK, NY 11374-2337
(718) 275-7485
(718) 997-6817
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
221669
NY
Other
Enumeration date
03/27/2006
Last updated
07/08/2007
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